Who Is It For?

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1. Which of the following questions is NOT a typical opening question of a culturally competentphysician?A. What do you expect of me?B. How can I help you?C. What do you think your problem is?D. Do you have any belief?E. What do you think the cause of the problem is?

d

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2. Important points in constructing a “better healing story” are, EXCEPTA. The story must be meaningful from the patient’s point of viewB. Patient has to accept that the story is about him/her personallyC. The story must not concentrate on the main complaintD. The story must be biomedically sound

c

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3. Which of the following can be the final manifestation of grief pathology?A. Absence of griefB. Dysfunctional denialC. Manic escapeD. Dysfunctional hostilityE. Clinical depression

e

d

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5. Which of the following statements is true for the anger stage of dying?A. It is an unnatural response to dyingB. A physician must ask the patient to stop being angryC. Being angry is a natural response to the threat against personal integrityD. Clinicians should become defensive when their patients are angryE. Patients become angry when their physical needs are not met

c

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6. Which is not an emotional consequence of physical, emotional or sexual abuse?A. HateB. FearC. ShameD. GuiltyE. All of the above can be consequences

e

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7. All are true EXCEPT:A. Hallucination is a sensory impression that exists in the absence of a real external stimulusKiran RB. Illusions are the misinterpretation of real external stimuliC. Delusion is a false belief unique to the individualD. Compulsions are repetitive irrational thoughts accompanied with anxiety

d

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8. All of the following disorders can be induced by excessive alcohol consumption, EXCEPT:A. Anxiety disorderB. Mood disorderC. SchizophreniaD. Psychotic disorderE. Sleep disorder

c

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9. Doctor says patient: I understand that you are worried about the financial consequences of thisinjury. It’s an example of:A. ReflectionB. VasodilationC. RecapitulationD. EmpathyE. Respect

d

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10. A person who has unconscious violent feelings becomes a surgeon. This is an example of whichof the following defense mechanisms?A. RepressionB. SublimationC. DisplacementD. IntellectualizationE. Denial

b

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11. A 2-year old child is afraid of nurses in white uniform. When his grand-mother comes to visit himwearing a white jacket, he begins to cry. The best explanation for this phenomenon isA. Instrumental conditioningB. Stimulus generalizationC. Learning by trial or errorD. Positive reinforcements

b

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12. Which is true for sleep apneaA. Mainly female’s disorderB. Continue positive airway pressure mask could be a treatment choiceC. Has a higher frequency in young adulthoodD. Weight loss could not be beneficialE. All of the above are true

b

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13. Which is correct?A. Homosexual actions are more frequent amongst women compared to men.B. Sexual pain disorder is exclusively women’s conditionC. There are no gender differences in paraphiliasD. Erectile dysfunction is the sexual arousal disorder of menE. The normal frequency of sexual intercourse of sexual intercourse amongst young adults is 3intercourse/week.

d

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14. What is false:A. Long term REM deprivation can lead to death in animal modelsB. REM may have an important role in memory consolidationC. REM are characterized with dreamingD. Muscular tone is increasing in REME. Pulse rate may increase and become irregular in REM

d

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15. According to psychosocial developmental theories set forth by Erikson, a child works throughdifferent developmental tasks at typical ages. Which is the typical age for phase labelled“identity versus role confusion”?A. 1 to 3 yearsB. 3 to 6 yearsC. 6 to 11 yearsD. 12 years through adolescence

d

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16. Which is NOT a parasomnia?A. NarcolepsiaB. SleepwalkingC. Sleep enuresisD. Nightmares

a

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17. Elements of sleep hygiene, except:A. Regular sleep-wake scheduleB. One drink before go to bedC. Eliminate caffeine and nicotineD. Exercise during day

b

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18. Which of the following techniques is useful in managing a somatising patient?A. Explaining to the patient that he should not worry about his complaints, there is no organicproblemB. Evaluating each symptom with a careful interview, physical examination, and establishappropriate goals and expectations for both the doctor and the patientC. Avoiding the use of medications, as the problem is basically of psychological originD. Not giving fixed date follow-up appointment, but allowing the patient to call you if thesymptoms would worsen

b

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19. Which of the following results in the highest mortality rates?A. AIDSB. SuicidesC. Tobacco useD. Car accidents

c

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20. What functions is the neocortex responsible for?A. LanguageB. ReasoningC. Skilled motor sequencesD. MemoryE. All of the aboveKiran R

e

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21. Which condition increases an individual’s perception of pain?A. AnxietyB. Anti-social personality disorderC. Depression (looked online and depression can also increase pain perception, but only onecorrect answer for this question)D. Alcohol dependence

b

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23. Risk factors for suicide DO NOT include:A. Family history of mental disorder or substance abuseB. Exposure to suicidal behaviour of othersC. DivorceD. Keeping firearms at home

d

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24. In disorders of sexuality and sexual functioning, the term paraphilias refers to:A. Problems with the normal sexual response cycleB. Sexual urges or fantasies involving unusual sources of gratification problemsC. An individual is dissatisfied with their own biological sex and have a strong desire to be amember of the opposite sexD. Problems with sexual fantasies

b

b

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26. What is not true about behavioural therapy?A. Based on the assumption is that psychological problems stem from suppression ofexperiences into the subconsciousB. Focus on changing a particular behaviourC. Very often used to treat fears and phobiasD. Is used for shaping new behaviour

a

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27. Which is one of the differences between Anorexia and Bulimia?A. Anorexia is a mental illness, bulimia is not.B. Bulimia is not as serious as anorexiaC. Only bulimics abuse laxativesD. Anorexics can often be identified by low body weight, whereas bulimics have usually normalweight

d

c

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29. Only observable behaviors should be studied, since internal stages such as cognitions, emotions,and moods are too subjective. This is a typical statement ofA. PsychoanalysisB. BehaviorismC. Humanistic theoryD. Transpersonal theory

b

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30. Which strategy would you use if your client is in the preparation stage or a behavior change?A. Emphasize the risks of the current behaviour and encourage to consider to change itB. Discuss action plan and set start dateC. Give information and help to identify pros and cons of the changeD. Show support and admiration for the efforts and ask about the difficulties met

b

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31. What is more frequent in females than in males?A. SchizophreniaB. Substance abuseC. DepressionD. Suicide

c

a

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33. What is the task of a doctor during closure of the interview?A. Checking what wasn’t understood by the patientB. Make a following appointment if appropriateC. Exploring patient beliefsD. Negotiate treatment options

b

d

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37. The doctor is seen as the patient’s father during therapy is an example of:A. TransferenceB. CountertransferenceC. IndifferenceD. Validation

a

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38. The doctor sees his own father in the patient is an example of:A. TransferanceB. Countertransferance (Transferance refers to the patient’s emotions, andcountertransferance refers to the doctor’s emotions)C. IndifferenceD. Validation

b

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39. Pharmacotherapy in eating disorders:A. Should not be used as an exclusive treatment formB. Can help anorexic patients to gain weightC. Is more effective than psychotherapyD. Ineffective in bulimia nervosa

a

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40. Poor diet, physical inactivity and tobacco use are all proven behavioral risk factors for which ofthe listed chronic diseases?A. Breast cancerB. Cardiovascular diseases (also associated with some cancers, but since osteoarthritis is notone of them this has to be the answer)C. OsteoarthritisD. All of them

b

41

41. Which of these is not a dyssomnia?A. InsomniaB. SleepwalkingC. NarcolepsyD. Fragmented sleep

b

b

43

43. Is it correct if the doctor advises to the patient: “Avoid stress in your life”?A. Yes, it is very useful advice for everybody.B. It is a very useful advice but only for patients suffering from high level of stress.C. No, because stress is a part of life, so it’s impossible to avoid. They can ask how to handlestressful situations.D. No, because this is a special advice for doctors and not for patients.

c

44

44. While giving bad news it is advisableA. To have some paper tissues on the doctor’s deskKiran RB. To sit as far as you can from the patient to be protected against the possible reaction ofanger.C. To apply the method of “repetition”D. To hug the patient

b and d

46

46. Which of the following(s) is/are true?A. Generalized anxiety disorder is associated with delusionsB. Cognitive behavior therapy has been show to be the most effective psychologicaltreatment for insomniaC. A person who suffers from bipolar disorder alternates between anxiety and maniaD. Depression can cause insomnia

d

47

47. Which of the following(s) is/are NOT true about the DSM-IV?A. The DSM stands for Diagnostic Science of the MindB. The DSM-IV axis II. Represents clinical mental disordersC. Personality disorders are grouped into four clusters in the DSM-IVD. Paranoid, schizoid and schizotypal personality disorders are classified under cluster A(odd-eccentric) of the DSM-IV

a and c

48

48. Which of the following may be additional problems may occur in the bulimia nervosa:A. Transient delusionsB. Substance abuseC. HallucinationsD. Problems with impulse control

d and b

49

49. What is characteristic of REM sleep?A. Brain activity is similar to the waking stateB. Usually involves dreamingC. Physiological responses increaseD. Difficult to wake somebody in this stage

c b a

50

50. What are the basic elements of the client centered therapy?A. CongruenceB. EmpathyC. RespectD. Neuroticism

a b c

51

51. The therapy of burnout syndrome can be implemented on the levelA. PreventionB. InterventionC. Crisis interventionD. Hyper-intervention

a b c

all

54

54. Which is true for the General Adaptation Syndrome (GAS)?A. It has three stages: the alarm, the resistance and the exhaustion stage.B. It describes the stages of behaviour change from precontemplation to relapse.C. It is an inadaptive emotion focus coping strategy.D. It is the fight of flight reaction described by Walter Cannon.

a

55

55. The apparently lack of empathy and the tendency to exploit others for self-benefit, has leadpsychologists to compare narcissistic personality disorder with which one of the following?A. Histrionic personality disorderB. Antisocial personality disorderC. Paranoid personality disorderD. Schizotypal personality disorder

b

56

56. Which of the following is NOT normal in grief?A. Somatic distressB. Feeling of guiltC. HostilityD. Elevated mood

d

57

57. What kinds of events or experiences are NOT likely to cause symptoms of dissociation?A. Natural disastersB. Chronic illnessesC. ViolenceD. Sexual abuse

61. Which is not a stage of grief?A. BargainingB. AngerC. ElationD. Acceptance

c

a

63

63. Which of the following are true:A. Adherence reports, surprisingly have at least the same accuracy by self-report than beobjective meansB. Physicians tend to overestimate their own patient’s degree of adherenceC. Although physicians overestimate a bit their patient’s degree of adherence, they canwell distinguish between adhering and nonadhering patients (They do overestimate butI am not sure whether they are good at distinguishing adhering and non adhering)D. Physicians tend to be poor at distinguishing their adhering from their non adheringpatients

b

64

64. Stereotypic reasoning can lead to biased decision. This type of bias typically occurs whencommunication between doctor and patient is affected by differencesA. In social classB. In ethnicityC. In sexD. In age

all

65

65. Behavioural management programs can be very useful in efforts aimed at long-termimprovements in health-related behaviors. Which of the following elements shouldincorporated into such typical programs?A. Self monitoringB. Aversive conditioning trainingC. Support groupD. Background motivation training

a and c

all

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67. Which of the following statements are falseA. Family factors, like family break-up or parental conflict put children at greater risk fordrug and alcohol abuseB. Among adults, crime rates for the divorced triple those of never marriedC. Children of divorced parents are at a greater risk for poor self-conceptsD. Divorce rates are lower than the average among those who cohabited before marrying

a b c

all

70

70. Which of the following behaviors influences the course of malignant disease negatively?A. DenialB. Increase in physical activityC. Poor adherence to treatmentD. Getting a second opinion from another physician

a and c

71

71. Which of the following are red flags to lethal violence?A. Prior history of domestic violenceB. Drug and/or alcohol use before the fatal episodeC. Threats to killD. Possessive beliefs and morbid jealousy

all

72

72. Which of the following are symptoms of anorexia nervosa?A. Lack of exercise, social withdrawalB. Drastic restriction of food intakeC. Fear of being contaminated and infected via food intakeD. Amenorrhea

b and d

73

73. Alcohol abuse is associated with which of the following?A. Domestic violenceB. HomelessnessC. Child abuse and neglectD. Criminal act

all

74

74. Which are the doctor’s tasks at the opening phase of the medical interview?A. Assessing the patient’s ability to communicate.B. Asking specific questions on the patient’s symptoms.C. Introducing of self, and role in the health care team.D. Exploring the patient’s beliefs about his problem

a and c

75

75. Which of the following is/are function(s) of the superego?A. Maintaining relationship with the outside world (ego does this)B. Reality testing (ego does this)C. Problem solving (ego does this)D. Controlling id impulses

a and c

a b c

83

83. The Default Mode Network of the brainA. Is a concept that originates in the reflex theory of brain functioning (Sir CharlesSherrington)B. Is a concept that originates in the theory of intrinsic activity of the brain (ThomasGraham Brown)C. Is characterized by task-induced activationsD. Is characterized by task-induced deactivationsE. Is characterized by intrinsic connectivity of the occipital and the parietal lobes

b and d

84

84. Which of the following are true?A. Reinforcements are much more effective than punishmentsB. Punishment may model aggressive behaviourC. With punishment, negative emotional responses may be conditioned incidencesD. Negative reinforcements decrease the probability of the targeted behaviour

d

b

91

91. While disclosing a medical error it is advisable toA. Make a promise you can’t deliver for calming the patient or relative downB. Start the conversation with a warning statementC. Avoid empathic responses for strong emotionsD. Make links between the past information and the present reality

b and d

92

92. A doctor who treats a cancer patient tends to talk about the technical details with other doctors.This is an example of:A. RepressionB. SublimationC. DisplacementD. IntellectualizationE. Denial

d

93

93. What is the age, according to Erikson’s theory that correlated with industry vs. inferiority?A. 1-3 years oldB. 3-5 years oldC. 6-11 years oldD. 12-20 years old

c

c

95

95. What is the most appropriate to do during closure of interview?A. Making a follow up appointment, if appropriateB. Exploring patients beliefC. Negotiate treatment optionsD. Clarify what patient should do in the interim

a and d

96

96. What is the most common symptom in a craving patient?A. RestlessnessB. HeadacheC. NauseaD. Itching

a

97

97. A patient comes for chemotherapy 4 times. The fourth time she feels nausea as she enters theclinic. This condition is called:A. Classical conditioningB. Operant conditioningC. Air conditioningD. Positive reinforcement